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7343
§ 4.114 Schedule of ratings—digestive system.

Pancreatic cancer

Malignant tumor of the pancreas (pancreatic carcinoma)

What the rating means

Pancreatic cancer is rated under diagnostic code 7343, which covers malignant neoplasms of the digestive system, exclusive of skin growths. VA assigns a 100 percent rating for active malignancy. That 100 percent rating continues beyond the end of any treatment, including surgery, X-ray, antineoplastic chemotherapy, or other therapeutic procedures. Six months after treatment ends, VA requires a mandatory examination to determine the appropriate rating going forward. Any change to your rating after that exam is subject to the protections in 38 CFR 3.105(e). If there has been no local recurrence or spread of the cancer, VA will then rate you based on whatever residual disabilities remain. When more than one digestive condition under certain diagnostic codes would each warrant a rating, VA does not combine them. Instead, VA assigns a single rating under the code that best reflects the overall disability, and may raise it one level if the combined severity warrants it.

Evidence that helps

During active disease or treatment, medical records confirming the pancreatic cancer diagnosis are the foundation of a 100 percent rating. Pathology reports, imaging studies, operative reports, oncology treatment records, and notes documenting ongoing chemotherapy, radiation, or other therapy all show that active malignancy or treatment is present. After treatment ends, the mandatory VA examination six months later becomes the key record. At that point, evidence should document whether there has been any local recurrence or metastasis. If the cancer has not recurred or spread, VA looks at residual disabilities, so records showing lasting effects — such as digestive impairment, weight loss, pain, or other organ involvement — become important. Statements from you or people who know you describing how symptoms affect your ability to work, eat, or carry out daily activities can help show the severity of those residuals at the time of that examination and any examinations that follow.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.